Part-time Registered Nurse

Location
Alexandria, VA
Salary
$26.52 - $36.34 Hourly
Posted
Sep 30, 2019
Closes
Oct 15, 2019
Ref
2020-00110
Hours
Part Time
Registered Nurse
(Part-Time)

The City of Alexandria is located in northern Virginia and is bordered by the District of Columbia (Potomac River), Arlington and Fairfax counties. With a population of approximately 150,000 and a land area of 15.75 square miles, Alexandria is the seventh largest city in the Commonwealth of Virginia. Alexandria has a charming waterfront and is a unique and historic place to live and work. About one-quarter square miles in the city have been designated as a national or local historic district. We proudly embrace our rich history and seize the endless opportunities that lie ahead. If you are interested in working for the vibrant City of Alexandria, we invite qualified candidates to apply for our Registered Nurse positions.

An Overview
A Registered Nurse provides direct and indirect professional nursing care to the residential individuals of the Center for Adult Services in the Department of Community and Human Services (DCHS). The registered nurse will coordinate the medical treatment of the residential individuals which will include but is not limited to: monitoring signs and symptoms of illness , monitoring medication ordering/administration procedures, reviewing response to medications, changes in vital signs, blood sugar, etc. , coordinating medical concerns with the individual and their SAI, and monitoring the implementation of the Department's policies and procedures concerning all aspects of medical care of residential individuals. Work is performed under the general supervision of the Director of Developmental Disability (DD) Residential Services.

What You Should Bring
The ideal candidate should have good knowledge of nursing and clinic policies and procedures; good knowledge of approved medical terminology and abbreviations; good knowledge of the function, use, maintenance, and safety precautions of all equipment used; ability to clinically evaluate individuals/clients before medicating; ability to monitor clients on a variety of medications; ability to communicate clearly and effectively, both orally and in writing; ability to provide nursing services to difficult and complex patient and client cases; ability to establish and maintain effective working relationships between staff, hospital employees, administration, physicians, visitors and individuals; ability to chart accurately, legibly, and completely all entries on medical records/controlled substance inventories.

The Opportunity
  • Ensures that all residents of DD Group Homes have access to medical care, both episodic and preventive, so that residents maintain optimum health status. Medical care is monitored to ensure they meet accepted practice quality standards. Examples include: ensuring that chronic illnesses are monitored periodically by appropriate specialty providers, ensuring that residents receive appropriate screening (e.g. pap smears, colonoscopy, mammogram, immunization, flu vaccine, etc.);
  • Reviews all changes in medication for individual and ensures that the pharmacy has received the order, that the staff at the home is aware of the change, and that the medication arrives and is initiated in a timely manner;
  • Maintains a tracking system of both routine and prn (as needed) medications to ensure that all prescribed medications are renewed promptly and that no individual goes without medications at any time;
  • Maintains a monitoring system for all individuals with health problems, ensuring that staff will follow physician orders. Review MAR monthly to identify any trends (e.g. diastolic BP rising, BS out of normal range, etc.), ensuring that the residential counselor responsible for medical appointments and transport is aware of the problems and makes appointments with the appropriate provider;
  • With the assistance of residential counselors, identifies individual's response to prescribed medications, coordinating with service providers if an earlier appointment or medication change is needed;
  • Coordinates medical care in conjunction with the residential counselor(s) responsible for providing medical transportation. Ensures that individual's medical needs are handled promptly and that routine exams are accomplished on a yearly basis;
  • Identifies problems and trends in the population in need of monitoring or intervention. Examples include obesity, mobility and safety issues, activity levels, etc. Collaborates with staff to work towards ameliorating problems through specific action plans;
  • Participates in the admission process for new individuals by providing input on health related issues and working towards obtaining information on health status and health problems and concerns prior to admission to the facility;
  • Provides educational sessions / materials for staff in residential facilities on an as needed basis on topics related to the individuals in their care. Topics may be related to disease processes, medications, etc. and are provided at the request of the senior counselor in the group home;
  • May provide skilled nursing care on an occasional basis when needed and when that care is unavailable through other outside sources;
  • Provides information, training, guidance, and assistance on medically related concerns to individuals or staff in person or by telephone;
  • Reports untoward signs to appropriate health care providers, i.e., blood pressures, pulse, respiration and temperature, and coordinates with other community services as needed;
  • Reviews records to ensure that care given was complete and adequately documented;
  • Reviews medication administration documentation to ensure it is in compliance with State Licensure regulations and Departmental Policy guidelines;
  • Ensures that emergency and other equipment is operational, drugs on hand are current, and supply is adequate;
  • Attends staff meetings and training as required;
  • Performs related work as required.

About the Department
The Center for Adult Services (CAS) provides programs and services in Aging; Adult Protective Services; Clinical & Emergency Services; and Community & Residential Support Services for seniors and for persons with mental illness, intellectual disabilities and substance use disorders. CAS provides compassionate and effective person-centered services based on best practices. Our teams support self-determination, safety and recovery for Alexandria residents affected by abuse, neglect, mental illness, intellectual disabilities and substance abuse disorders.

Minimum & Additional Requirements

Graduation from an accredited school of Nursing; Licensed or license eligible with the State Board of Nursing of the Commonwealth of Virginia as a Registered Nurse, or any equivalent combination of experience and training which provides the required knowledge, skills, and abilities.

Preferred Qualifications

Must have a valid driver's license; At least two (2) years of medical surgical nursing experience in either a hospital or outpatient clinic facility; At least one (1) year of experience working with persons with intellectual disability and co-occurring mental health and/or substance abuse issues. At least one (1) year of experience working within a residential program setting.

Notes

This position requires the successful completion of pre-employment background checks including but not limited to: FBI/Federal Records Check; VA State Child Abuse/Neglect Registry; Medicare/Medicaid Fraud Database; education/certifications; drug screening; and driver's license.

Schedule:
20 hours/week; Monday-Friday; Flexible Schedule (some evenings and days required; Meetings 1st Fridays of every month). As an Essential Employee, staff will be expected to be at work during weekends, holidays, or inclement weather if they have been scheduled.

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